I have experience of many years in working with the regional manager and staff in the QC Northwest AR office. The manager is extremely knowledgeable of the industry, and proactive in all my dealings with her. She always goes the extra mile. The entire team there responds promptly whenever assistance is needed. Great team work!
THE WORST CUSTOMER SERVICE! WOULD GIVE THEM 0 STARS IF I COULD. IF YOU CALL WITH A QUESTION, THEY NEVER SEEM TO KNOW WHAT YOU ARE TALKING ABOUT AND WILL KEEP YOU ON HOLD FOR 10- 15 MINUTES( NO EXAGERATION).WILL GIVE YOU THE OLD "OUR SYSTEM JUST CRASHED" LIE. BETTER TRAINING IS NEEDED FOR YOUR REPS. THEY ARE VERY NICE BUT DO NOT HAVE A CLUE ABOUT HOW TO DO THEIR JOB.
Funny how there's a running theme of them denying claims. When I go to a chiropractor they literally pay him whatever they feel like. That literally includes paying him nothing so all he gets is the $50 specialist copay I pay. I also recently had an MRI and it found arthritis in my neck. The hospital said they got a PA and my copay was about $40. They denied the claim, saying they approved the PA, not payment, and had to apply it toward my deductible, resulting in a bill of almost $700. I currently have a case with the Arkansas Insurance Department over these issues. I have the policy with the higher premium, but it doesn't matter unless you meet that deductible of $2,000.
As an employee of QualChoice for 25 years I have enjoyed my time here. As anywhere you make your job what you want whether good or bad. There is always bad days due to tight schedules and high inventory but the good far out way the bad. My co-workers are also friends we spend as much time at work together as we do at home with family. Through the years I have always heard rumors we wouldn t last, we were closing our doors, etc. all the negative, but my years show we have grown and are a stable company. Now with our partnership with Centene we will move on to bigger and better with a bright future.
I know your benefits for an insurance plan can be complicated and hard to understand but everyone at QualChoice is always willing to help in any way they can. I can attest to our great employees and each and every one go the extra mile to take care of your insurance needs.
If you can find any other kind of insurance, I would recommend using it. I had two doctors, who have actually examined me, tell me I needed an MRI. After waiting several days, my insurance denied it after recommending physical therapy for 6 weeks by someone who hasn't even seen me. I'm just grateful it's open enrollment so I'll be changing insurance carrier today.
My son have Quail Choice for medical insurance and he just got out the hospital from being in there eight days due to memory loss, seizures, blood infection and I called these people to change his PCP and I ve been on the phone over thirty minutes and no one still will not pick up just to do some so simple. They play the same recording in your ear the whole time. The company is a joke.
If I could give a zero star rating, I would. They made me pay a $200 co pay, when my summary of benefits says $40. I have been over all of this with them, they won't listen! The lady who does the insurance stuff at the dr office even said that the $200 wasn't correct. I've had someone with this company tell me the same thing. It wasn't an outpatient procedure done at the hospital, it was done in the dr office! I have yet to hear back from the supervisor that I left a voicemail for. We will not be using Qualchoice next year!
Might as well save your money or shop for another provider, I know I will be.
My experience as a QualChoice member has been exceptional. I don't have frequent medical expenses, but when I do, QualChoice has provided the service I expect. I particularly like their member portal that provides me an easy way to access information about my claims when I need it.
They provide one statement to the member and another statement to the provider to put each other at odds. Would not recommend them for insurance.
I called the provider's office three times and the member service twice. The providers office was willing to dig a little deeper to research the problem. The Qualchoice Member office just wanted to brush it off.
qualchoice.com
